Individual provider Active NPI

Divis K Khaira, M.D.

  • Hospitalist Physician
  • Fort Myers, FL
National Provider Identifier
1285637298
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME172684 Issued in FL
Practice address
8931 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7809
Phone
(239) 343-9567
Fax
(239) 343-9571
NPI assigned
May 23, 2005
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014-00861 NC
Hematology & Oncology Physician 207RH0003X 319482 NY
Hematology & Oncology Physician 207RH0003X ME172684 FL
Hematology & Oncology Physician 207RH0003X M-2097 GU
Hematology & Oncology Physician 207RH0003X 2014-00861 NC
Hematology & Oncology Physician 207RH0003X MD60789499 WA
Hematology & Oncology Physician 207RH0003X 2648 WI
Hospitalist Physician 208M00000X ME172684 FL Primary

Addresses

Primary practice location

8931 Colonial Center Dr Ste 300
Fort Myers, FL 33905-7809

Mailing address

PO Box 100224
Gainesville, FL 32610-0278
Phone (352) 273-7832

Other practice location 1

1600 SW Archer Road
Gainesville, FL 32610-3001
Phone (352) 273-7832

Other practice location 2

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

Other practice location 3

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7878

Other practice location 4

317 S Manning Blvd Ste 220
Albany, NY 12208-3909
Phone (518) 525-6418

Other practice location 5

1300 Massachusetts Avenue,
Hildegard Medicus Cancer Center
Troy, NY 12180
Phone (518) 268-5060

Other practice location 6

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-4150

Other practice location 7

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 736-1110

Other practice location 8

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone (813) 745-4673

Other practice location 9

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-3300

Other identifiers 2

IdentifierTypeStateIssuer
100098395MedicaidWI
126187300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX, FL, GU, NC, NY, IL, TN, IA, ME, MN, CO, MO15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20040415000018 AZ Practitioner - Hematology/Oncology 7810981727 Reassigns benefits to 1 organization
I20110922000679 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 7810981727 Reassigns benefits to 4 organizations
I20120123000156 TX Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7810981727 Reassigns benefits to 1 organization
I20150402001602 AZ Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7810981727 Reassigns benefits to 2 organizations
I20150826002451 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7810981727 Reassigns benefits to 2 organizations
I20180405000444 GU Practitioner - Hematology/Oncology 7810981727 Reassigns benefits to 1 organization
I20180723003303 NC Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospitalist 7810981727 Reassigns benefits to 3 organizations
I20221214000745 NY Practitioner - Hematology/Oncology 7810981727 Reassigns benefits to 2 organizations
I20230505001446 IL Practitioner - Medical Oncology 7810981727 Reassigns benefits to 1 organization
I20230516000371 TN Practitioner - Internal Medicine 7810981727 Reassigns benefits to 2 organizations
I20230922001112 IA Practitioner - Hematology 7810981727 Reassigns benefits to 1 organization
I20240514000432 ME Practitioner - Hematology/Oncology 7810981727
I20240626003553 MN Practitioner - Hematology/Oncology 7810981727 Reassigns benefits to 1 organization
I20250417001609 CO Practitioner - Hematology/Oncology 7810981727 Reassigns benefits to 3 organizations
I20260625000550 MO Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 7810981727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

1606 Prairie Ctr Pkwy
Brighton, CO 80601-4005

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

2635 N 7TH St
Grand Junction, CO 81501-8209

340 Exempla Cir
300 Lafayette Clinic Neurosurgery
Lafayette, CO 80026-3384
Phone (303) 673-1390

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

750 Wellington Ave
Grand Junction, CO 81501-6132

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60789499WAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Oct 2, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 13, 2025 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
North Pacific Cardiology Medical Internal Medicine CurrentSince Dec 25, 2016 Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince Oct 13, 2025 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jul 1, 2016 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 28, 2023 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince May 1, 2015 Accepting new patients
Mercy Specialty Clinic CurrentSince Aug 28, 2023 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Sjhmc Physician Services CurrentSince Apr 1, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Internal Medicine Current Accepting new patients
NHCS Physicians, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Guam Memorial Hospital CurrentSince Mar 5, 2018 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Sunterra Oncology Associates LLC Current Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
S H Ahmed MD PHD Inc Hematology & Oncology CurrentSince Sep 27, 2012 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince May 17, 2025 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Oct 2, 2022 Accepting new patients
St. Peter's Hospital of the City of Albany Internal Medicine CurrentSince Oct 2, 2022 Accepting new patients
Saint Anthony Medical Center CurrentSince May 1, 2023 Accepting new patients
Allina Health System CurrentSince May 13, 2024 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Apr 7, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist CurrentSince May 1, 2015 Accepting new patients
Lee Health System Inc CurrentSince Apr 1, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Eastern Maine Medical Center CurrentSince May 12, 2024 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Apr 17, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince May 12, 2024 Accepting new patients
NHCS Physicians Inc CurrentSince Feb 1, 2021 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Internal Medicine Current Accepting new patients
Intermountain Medical Group Grand Junction, LLC Hospitalist CurrentSince Apr 7, 2025 Accepting new patients
Lee Health System Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Saint Anthony Medical Center Hematology & Oncology CurrentSince May 1, 2023 Accepting new patients
Allina Health System CurrentSince May 13, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Mar 5, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 3, 2022 Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Alaska Native Tribal Health Consortium PastSince May 17, 2025 Accepting new patients
S.Hasnat Ahmed, MD, Apc Hematology & Oncology Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Bitter Creek Inpatient Services LLC Hospitalist Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations (25 of 59)

3900 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1128

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

13128 N 94th Dr
Ste 201
Peoria, AZ 85381
Phone (623) 209-7227

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

10503 W Thunderbird Blvd
Ste 109
Sun City, AZ 85351
Phone (623) 875-5805

14800 W Mountain View Blvd
Ste 250
Surprise, AZ 85374
Phone (623) 584-7805

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

1271 Ross Ave
El Centro, CA 92243
Phone (760) 335-3030

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

File 56765
Los Angeles, CA 90074

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dkhaira2122760@direct.trinity-health.org
  • Direct secure messaging: dkhaira220599@direct-guthrie.org
  • Direct secure messaging: dkhaira570808@direct.peacehealth.org
  • Direct secure messaging: dkhaira790475@direct.shands.ufl.edu
  • Direct secure messaging: payer.credentialing@sphp.com

Organizations & group practices 61

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 61

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1285637298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100224",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100278",
            "telephone_number": "352-273-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 COLONIAL CENTER DR STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057809",
            "telephone_number": "239-343-9567",
            "fax_number": "239-343-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Road",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103001",
            "country_code": "US",
            "telephone_number": "352-273-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2845 Greenbrier Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116519",
            "country_code": "US",
            "telephone_number": "920-288-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-7878",
            "fax_number": "360-414-7876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 S Manning Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083909",
            "country_code": "US",
            "telephone_number": "518-525-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Avenue,",
            "address_2": "Hildegard Medicus Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "12180",
            "country_code": "US",
            "telephone_number": "518-268-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2460 Curtis Ellis Dr",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278042237",
            "country_code": "US",
            "telephone_number": "252-962-4150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Wayne Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349494",
            "country_code": "US",
            "telephone_number": "919-736-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12902 Usf Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336129416",
            "country_code": "US",
            "telephone_number": "813-745-4673",
            "fax_number": "813-449-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98195",
            "country_code": "US",
            "telephone_number": "206-598-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "DIVIS",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-00861",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "319482",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME172684",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GU",
            "license": "M-2097",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2014-00861",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60789499",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "2648",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME172684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098395",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126187300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1300 Massachusetts Avenue,",
            "address_2": "Hildegard Medicus Cancer Center",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.